31987 Cardiac Science Corp 0 QQ..,,,,��,,,, ,fTh INDIANA RETAIL TAX EXEMPT PAGE
l�t \)/ of l\ °� Jflfl e j CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
LL�. y ��11.//Lva �a�a 1111 FEDERAL EXCISE TAX EXEMPT 31987
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES.NP
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SUPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 •
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
-
5130/2014
Cardiac Science Corp Cannel Police Department
VENDORDept• 0587 SHIP 3 Civic Square
P.O. Box 120587 TO Cannel, IN 48032
Dallas, TX 75312-0587 (317)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY . UNIT OF MEASURE i DESCRIPTION UNIT PRICE EXTENSION
Account 42-390.12
1 Each hard sided,waterproof carrying case for 9157-004 - $208.00 $208.00
AED
Sub Total: $208.00
40110- --n" IF CzYr6,4--
'r
Send Invoice To: �-- Q- 9 07�
Cannel Police Department
Attn: Pat Young
3 Civic Square .
Cannel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT I PROJECT PROJECT ACCOUNT AMOUNT
•
Cannel Police Dept. PAYMENT $208.00
• NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS • I HEREBY CERTIFY THAT THERE IS/AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION S I N7 TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
.PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /�
SHIPPING LABELS. ChI 'of Pollee
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE •
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
-_ 1' N CLERK-TREASURER I
DOCUMENT CONTROL NO..3 19 87 OFFICE COPY